Individual provider Active NPI

Deborah Louise Sano, PH.D.

  • Psychologist
  • Boardman, OH
National Provider Identifier
1407876816
Registry record updated May 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301011855 Issued in MI
Practice address
7010 South Ave Ste 5
Boardman, OH 44512-3603
Phone
(330) 953-0373
Fax
(330) 953-1373
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301011855 MI Primary

Addresses

Primary practice location

7010 South Ave Ste 5
Boardman, OH 44512-3603

Mailing address

PO Box 114
Canfield, OH 44406-0114
Phone (330) 506-9610

Other identifiers 1

IdentifierTypeStateIssuer
6627OtherOHOHIO LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100708000687 OH Practitioner - Clinical Psychologist 6507862083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7010 S Ave
Suite 5
Boardman, OH 44512-3603
Phone (330) 953-0373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah L Sano PHD LLC Psychologist CurrentSince Jun 15, 2006 Accepting new patients

Locations

33110 Grand River Ave
Farmington, MI 48336
Phone (248) 252-8950

7010 South Ave
Ste 5
Boardman, OH 44512
Phone (330) 953-0373

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273708800000",
    "number": "1407876816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 114",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444060114",
            "telephone_number": "330-506-9610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 SOUTH AVE STE 5",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445123603",
            "telephone_number": "330-953-0373",
            "fax_number": "330-953-1373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANO",
        "first_name": "DEBORAH",
        "middle_name": "LOUISE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2010-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301011855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO LICENSE",
            "identifier": "6627",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

Verify at the official NPI Registry.